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  • Borang Sukarelawan Selangor Recycling Association and Social Innovation (Serasi)

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    Kelab Belia Rumah Rakyat
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    This document contains a volunteer registration form for the Selangor Recycling Association and Social Innovation (SERASI). It requests information such as full name, identity card number, date of birth, address, phone number, email, and occupation from potential volunteers. The form contains submissions from 6 individuals providing their personal details to register as volunteers.

    Original Description:

    BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    Original Title

    BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

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    This document contains a volunteer registration form for the Selangor Recycling Association and Social Innovation (SERASI). It requests information such as full name, identity card number, date of birth, address, phone number, email, and occupation from potential volunteers. The form contains submissions from 6 individuals providing their personal details to register as volunteers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    16 views17 pages

    Borang Sukarelawan Selangor Recycling Association and Social Innovation (Serasi)

    Uploaded by

    Kelab Belia Rumah Rakyat
    This document contains a volunteer registration form for the Selangor Recycling Association and Social Innovation (SERASI). It requests information such as full name, identity card number, date of birth, address, phone number, email, and occupation from potential volunteers. The form contains submissions from 6 individuals providing their personal details to register as volunteers.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 17

    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    Suhaimi Ismail

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 1/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    NO KAD PENGENALAN *

    771120087055

    TARIKH LAHIR

    MM DD YYYY

    11 / 20 / 1977

    ALAMAT  *

    F6-9-98 Taman Puchong Permai, Jalan 2/3c Taman Puchong Permai

    NO TEL BIMBIT/WHATSAPP *

    0192277723

    EMEL *

    suhaimi6815@yahoo.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 2/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)
    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 3/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    Surianah bt rahmad

    NO KAD PENGENALAN *

    860415665048

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 4/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    04 / 15 / 1986

    ALAMAT  *

    Flat taman desa ria blok G pjs 5/16 petaling jaya 46000 selangor

    NO TEL BIMBIT/WHATSAPP *

    01123037315

    EMEL *

    anrsfenterprise@gmail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 5/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    Muhammad Jamilul Ehsan

    NO KAD PENGENALAN *

    920614145207

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 6/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    06 / 14 / 1992

    ALAMAT  *

    No 25, Jalan Songlai 27/42, Aroma Tropika Seksyen 27, 40400 Shah Alam, Selangor Darul Ehsan

    NO TEL BIMBIT/WHATSAPP *

    0196396707

    EMEL *

    ealifeventures@gmail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 7/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    Maizura binti Ibrahim

    NO KAD PENGENALAN *

    680220115208

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 8/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    02 / 20 / 1968

    ALAMAT  *

    No 3b blok 3c jln sabar 25/83 taman sri muda shah alam

    NO TEL BIMBIT/WHATSAPP *

    0136617073

    EMEL *

    emmaibrahim3324.mail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 9/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    Siti Sarah Binti Maswan

    NO KAD PENGENALAN *

    970205106050

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 10/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    02 / 05 / 1997

    ALAMAT  *

    Parit 13 sungai nibong Sekinchan selangor

    NO TEL BIMBIT/WHATSAPP *

    0194264697

    EMEL *

    sitisarahmaswan1997@gmail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 11/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    Ana suriaty bt Abu Bakar

    NO KAD PENGENALAN *

    741222145108

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 12/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    12 / 22 / 1974

    ALAMAT  *

    Lot 57 Kg Kuala Sg Baru Bt 13 Jln Kelang Puchong Selangor

    NO TEL BIMBIT/WHATSAPP *

    01116877513

    EMEL *

    anasuriaty91@gmail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 13/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    HUSNA AMIRAH MENON

    NO KAD PENGENALAN *

    900420146158

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 14/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    04 / 20 / 2022

    ALAMAT  *

    A-15-12 Univ 360, 43300 Seri Kembangan

    NO TEL BIMBIT/WHATSAPP *

    0176804140

    EMEL *

    husna.amirah90@gmail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 15/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    BORANG SUKARELAWAN SELANGOR


    RECYCLING ASSOCIATION AND SOCIAL
    INNOVATION (SERASI)
    Sila isikan borang dibawah untuk mendaftar menjadi sukarelawan Persatuan Inovasi Sosial dan Kitar
    Semula Selangor (PPM-008-10-24052022) 

    NAMA PENUH
    *

    NUR ATIQAH SOLEHA BINTI MOHD ZAMARI

    NO KAD PENGENALAN *

    960226335056

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 16/17
    9/30/22, 8:23 AM BORANG SUKARELAWAN SELANGOR RECYCLING ASSOCIATION AND SOCIAL INNOVATION (SERASI)

    TARIKH LAHIR

    MM DD YYYY

    02 / 26 / 1996

    ALAMAT  *

    NO.105 LORONG CAKERA PURNAMA 12/30, SEKSYEN 12, 42300 BANDAR PUNCAK ALAM, SELANGOR

    NO TEL BIMBIT/WHATSAPP *

    0183204526

    EMEL *

    Atiqahsoleha@gmail.com

    PEKERJAAN *

    Kerajaan

    Swasta

    Bekerja Sendiri

    Tidak Bekerja

    Masih Belajar

    This form was created inside of SAITO UNIVERSITY COLLEGE.

     Forms

    https://docs.google.com/forms/d/1tYGCtoHTy8jybWUeGYoiTtjtAtbZzm7fDAQQRl6WEcQ/edit#question=110309528&field=2032918895 17/17

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